Perfil das pacientes submetidas a gluteoplastia

Durante nossas frequentes apresentações em cursos, congressos e jornadas e mesmo em nossas publicações, existiam constantes perguntas sobre o perfil dessas pacientes. O crescente interesse da mídia e das pacientes a este respeito e também a crescente procura pela cirurgia nos estimulou a realizar este trabalho. Segundo dados da Sociedade Brasileira de Cirurgia Plástica (SBPC) e da American Society of Plastic Surgery (ASPS), referem que 20.000 pacientes foram submetidas a esta cirurgia. Em 2012, 40.000 pares de implantes glúteos foram produzidos. Existe um crescimento da cirurgia de 20% nos últimos três anos e no Brasil houve aumento de 42% em 2011. Esta tese tem como objetivo estabelecer o perfil epidermiologico das pacientes que se submetem a gluteoplastia de aumento utilizando implantes de silicone, avaliar o grau de satisfação com resultado e a correlação deste com o volume dos implantes utilizados. Cinquenta pacientes responderam a um questionário e foram examinadas pelo cirurgião e outro médico. Outras 37 pacientes foram avaliadas prospectivamente com tomografia computadorizada e volumetria, avaliação de resultado por oito cirurgiões plásticos, medidas antropométricas e correlação destas variáveis. A análise destes dados evidenciou tratar-se de cirurgia com baixo índice de complicação e alto índice de satisfação com resultado (96%). A maior procura foi por pacientes brancas (62%) e pardas (34%). Não percebemos relação de profissão ou nível socioeconômico com a procura pela cirurgia. Observou-se um alto número de pacientes que referiram naturalidade do resultado, sendo que em 94% dos casos, ninguém notou que a paciente havia se submetido à cirurgia, sem que a própria desse esta informação. As queixas, quando existiram, 4% foram referentes a terem achado as próteses pequenas. O tempo de recuperação da maioria (60%) para atividades normais foi de até 45 dias. Houve grande influência positiva na vida sexual e afetiva das pacientes que se submeteram a esta cirurgia. A correlação entre o volume dos implantes utilizados e das medidas antropométricas com o resultado estético da operação não demonstrou significância estatística. Conclui-se que as pacientes que desejam a gluteoplastia são predominantemente brancas e na quarta década de vida. A operação alcança altos índices de satisfação e o volume dos implantes apresenta correlação positiva com a renda mensal, a idade e a satisfação das pacientes, porém com maior tempo de recuperação. Quando o resultado é avaliado por cirurgiões plásticos, este não apresenta correlação com o volume dos implantes ou com as medidas antropométricas das pacientes.

A função e natureza das convenções e hipóteses segundo o convencionalismo francês da virada do século XIX para o XX: relações entre ciência e metafísica nas obras de Henri Poincaré, Pierre Duhem e Édouard Le Roy

Nesse trabalho apresentamos a função e determinamos a natureza das convenções e hipóteses para os fundamentos científicos segundo a corrente convencionalista que surgiu na França na virada do século XIX para o XX, composta por Henri Poincaré, Pierre Duhem e Édouard Le Roy. Além disso, analisamos a relação que as convenções e hipóteses podem estabelecer com teses metafísicas através dos critérios utilizados pelos cientistas para determinar a preferência por certas teorias. Para isso, promovemos uma interpretação imanente das obras publicadas entre 1891 e 1905. Como resultado, revelamos que os autores, apesar de serem classificados como pertencentes a uma mesma corrente, não possuem apenas posições comuns, mas também divergências. Poincaré e Le Roy concordam que as convenções geométricas são escolhidas de acordo com o critério de conveniência. Contudo, eles discordam sobre o valor que a conveniência agrega ao conhecimento científico. Em relação aos fenômenos naturais, os três autores concordam que a realidade não pode ser descrita univocamente por um mesmo conjunto de convenções e hipóteses. Porém, Poincaré e Duhem acreditam que há critérios que tornam umas teorias mais satisfatórias que outras. Analisamos os critérios experimentais, racionais e axiológicos que justificam a satisfação dos cientistas com certas teorias e apontamos como estes critérios se relacionam com a metafísica. Concluímos que os convencionalistas, mesmo que cautelosamente e de modo implícito, buscaram se aproximar da metafísica com o intuito de justificar a própria atividade científica.

Análise dinâmica e verificação à fadiga de obras de arte rodoviárias mistas (aço-concreto) submetidas ao tráfego de veículos sobre o pavimento irregular.

As pontes rodoviárias metálicas e mistas (aço-concreto) são submetidas a um grande número de carregamentos repetitivos de diferentes magnitudes, ao longo do tempo. Estas ações dinâmicas podem causar a nucleação de fraturas ou mesmo a propagação destas sobre o sistema estrutural. A depender da magnitude, estes efeitos podem comprometer o sistema estrutural e a sua confiabilidade, além de reduzir a vida útil das pontes. Assim sendo, neste trabalho de pesquisa foi investigada a resposta dinâmica de uma ponte mista (aço-concreto), simplesmente apoiada, com vão de 40,0 m, submetida ao tráfego de veículos sobre a superfície irregular do pavimento. Para tal um modelo numérico representativo do sistema estrutural foi desenvolvido com base no emprego do programa ANSYS, por meio do uso de técnicas usuais de discretização, via método dos elementos finitos. Um estudo paramétrico foi desenvolvido para identificar, de forma qualitativa e quantitativa, o efeito das irregularidades do pavimento sobre o comportamento dinâmico da ponte mista investigada. Em seguida, a verificação do projeto à fadiga do sistema misto foi realizada, com base no emprego do algoritmo de contagem de ciclos Rainflow e em curvas S-N associadas às principais normas de projeto sobre o tema. As conclusões deste trabalho de pesquisa alertam aos engenheiros estruturais para a possibilidade concreta acerca do aumento do dano por fadiga, relacionado às ações dinâmicas de veículos trafegando sobre o tabuleiro de pontes em aço e mistas (aço-concreto).

Manchester Mosslands SAC Astley and Bedford Moss, Holcroft Moss, Risley Moss

This is the report on Habitats Directive, the Review of Consents Stage 1 and 2 by the Environment Agency of the Manchester Mosslands cSAC, Astley and Bedford Moss, Holcroft Moss and Risley Moss. The Habitats Directive has the main aim to promote the maintenance of biodiversity by defining a common framework for the conservation of wild plants and animals and habitats of community interest. The Directive establishes a European ecological network known as "Natura 2000". The network comprises Special Areas of Conservation (SAC) and Special Protection Areas (SPA). In the section on Stage 1 or Screening Process of the Habitat Directive, it is identified the likely impacts upon the Manchester Mosslands cSAC, Astley and Bedford Moss, Holcroft Moss and Risley Moss of a project, plan or activities, either alone or in combination with other projects, plans or activities, and considers whether these impacts are likely to be significant. In the section on Stage 2 or Appropiate Assessment of the Habitat Directive, it is considered the impact on the integrity of the Manchester Mosslands cSAC, Astley and Bedford Moss, Holcroft Moss and Risley Moss of the projects, plans or activities, either alone or in combination with other projects, plans or activities, with respect to the site’s structure and function and its conservation objectives. Additionally, where these are adverse impacts, an assessment of the potential mitigation of those impacts. The criteria used in this report to identify relevant projects, plans or activities and their impacts are water quality discharge consents, waste management licences, abstraction licences, Integration Pollution Control (IPC) and Integrated Pollution Prevention Control (IPPC) permits. Proformas, hydrogeological and GIS maps are included in the review.

Rixton Clay Pits cSAC

This is the report on Habitats Directive, the Review of Consents Stage 1 and 2 by the Environment Agency of the Rixton Clay Pits cSAC. The Habitats Directive has the main aim to promote the maintenance of biodiversity by defining a common framework for the conservation of wild plants and animals and habitats of community interest. The Directive establishes a European ecological network known as "Natura 2000". The network comprises Special Areas of Conservation (SAC) and Special Protection Areas (SPA). In the section on Stage 1 or Screening Process of the Habitat Directive, it is identified the likely impacts upon the Rixton Clay Pits cSAC of a project, plan or activities, either alone or in combination with other projects, plans or activities, and considers whether these impacts are likely to be significant. In the section on Stage 2 or Appropiate Assessment of the Habitat Directive, it is considered the impact on the integrity of the Rixton Clay Pits cSAC of the projects, plans or activities, either alone or in combination with other projects, plans or activities, with respect to the site’s structure and function and its conservation objectives. Additionally, where these are adverse impacts, an assessment of the potential mitigation of those impacts. The criteria used in this report to identify relevant projects, plans or activities and their impacts are water quality discharge consents, waste management licences, abstraction licences, Integration Pollution Control (IPC) and Integrated Pollution Prevention Control (IPPC) permits. Proformas, hydrogeological and GIS maps are included in the review.

South Pennine Moors cSAC-SPA. North West Region-South Area

This is the report on Habitats Directive, the Review of Consents Stage 1 and 2 by the Environment Agency of the South Pennine Moors cSAC/SPA. The Habitats Directive has the main aim to promote the maintenance of biodiversity by defining a common framework for the conservation of wild plants and animals and habitats of community interest. The Directive establishes a European ecological network known as "Natura 2000". The network comprises Special Areas of Conservation (SAC) and Special Protection Areas (SPA). In the section on Stage 1 or Screening Process of the Habitat Directive, it is identified the likely impacts upon the Rixton Clay Pits cSAC of a project, plan or activities, either alone or in combination with other projects, plans or activities, and considers whether these impacts are likely to be significant. In the section on Stage 2 or Appropiate Assessment of the Habitat Directive, it is considered the impact on the integrity of the Rixton Clay Pits cSAC of the projects, plans or activities, either alone or in combination with other projects, plans or activities, with respect to the site’s structure and function and its conservation objectives. Additionally, where these are adverse impacts, an assessment of the potential mitigation of those impacts. The criteria used in this report to identify relevant projects, plans or activities and their impacts are water quality discharge consents, waste management licences, abstraction licences, Integration Pollution Control (IPC) and Integrated Pollution Prevention Control (IPPC) permits. Proformas, hydrogeological and GIS maps are included in the review.

Rochdale Canal cSAC

This is the report on Habitats Directive, the Review of Consents Stage 1 and 2 by the Environment Agency of the Rochdale Canal cSAC. The Habitats Directive has the main aim to promote the maintenance of biodiversity by defining a common framework for the conservation of wild plants and animals and habitats of community interest. The Directive establishes a European ecological network known as "Natura 2000". The network comprises Special Areas of Conservation (SAC) and Special Protection Areas (SPA). In the section on Stage 1 or Screening Process of the Habitat Directive, it is identified the likely impacts upon the Rochdale Canal of a project, plan or activities, either alone or in combination with other projects, plans or activities, and considers whether these impacts are likely to be significant. In the section on Stage 2 or Appropiate Assessment of the Habitat Directive, it is considered the impact on the integrity of the Rochdale Canal of the projects, plans or activities, either alone or in combination with other projects, plans or activities, with respect to the site’s structure and function and its conservation objectives. Additionally, where these are adverse impacts, an assessment of the potential mitigation of those impacts. The criteria used in this report to identify relevant projects, plans or activities and their impacts are water quality discharge consents, waste management licences, abstraction licences, Integration Pollution Control (IPC) and Integrated Pollution Prevention Control (IPPC) permits. Proformas, hydrogeological and GIS maps are included in the review.

West Middlands Mosses cSAC, Wybunbury Moss and Abbots Moss

This is the report on Habitats Directive, the Review of Consents Stage 1 and 2 by the Environment Agency of the West Midlands Mosses cSAC, Wybunbury Moss and Abbots Moss. The Habitats Directive has the main aim to promote the maintenance of biodiversity by defining a common framework for the conservation of wild plants and animals and habitats of community interest. The Directive establishes a European ecological network known as "Natura 2000". The network comprises Special Areas of Conservation (SAC) and Special Protection Areas (SPA). In the section on Stage 1 or Screening Process of the Habitat Directive, it is identified the likely impacts upon the West Midlands Mosses cSAC, Wybunbury Moss and Abbots Moss of a project, plan or activities, either alone or in combination with other projects, plans or activities, and considers whether these impacts are likely to be significant. In the section on Stage 2 or Appropiate Assessment of the Habitat Directive, it is considered the impact on the integrity of the West Midlands Mosses cSAC, Wybunbury Moss and Abbots Moss of the projects, plans or activities, either alone or in combination with other projects, plans or activities, with respect to the site’s structure and function and its conservation objectives. Additionally, where these are adverse impacts, an assessment of the potential mitigation of those impacts. The criteria used in this report to identify relevant projects, plans or activities and their impacts are water quality discharge consents, waste management licences, abstraction licences, Integration Pollution Control (IPC) and Integrated Pollution Prevention Control (IPPC) permits. Proformas, hydrogeological and GIS maps are included in the review.

Oak Mere cSAC

This is the report on Habitats Directive, the Review of Consents Stage 1 and 2 by the Environment Agency of the Oak Mere cSAC. The Habitats Directive has the main aim to promote the maintenance of biodiversity by defining a common framework for the conservation of wild plants and animals and habitats of community interest. The Directive establishes a European ecological network known as "Natura 2000". The network comprises Special Areas of Conservation (SAC) and Special Protection Areas (SPA). In the section on Stage 1 or Screening Process of the Habitat Directive, it is identified the likely impacts upon the Oak Mere cSAC of a project, plan or activities, either alone or in combination with other projects, plans or activities, and considers whether these impacts are likely to be significant. In the section on Stage 2 or Appropiate Assessment of the Habitat Directive, it is considered the impact on the integrity of the Oak Mere cSAC of the projects, plans or activities, either alone or in combination with other projects, plans or activities, with respect to the site’s structure and function and its conservation objectives. Additionally, where these are adverse impacts, an assessment of the potential mitigation of those impacts. The criteria used in this report to identify relevant projects, plans or activities and their impacts are water quality discharge consents, waste management licences, abstraction licences, Integration Pollution Control (IPC) and Integrated Pollution Prevention Control (IPPC) permits. Proformas, hydrogeological and GIS maps are included in the review.

The silicon backplane design for an LCOS polarization-insensitive phase hologram SLM

Polarization-insensitivity is achieved in a reflective spatial light modulator by laying a quarter-wave plate (QWP) at the incident wavelength directly over the mirror pixels of a silicon backplane, and forming a nematle Fréedrickcz cell over the QWP to modulate the reflected phase. To achieve the highest drive voltage from the available silicon process, a switched voltage common front electrode design is described, with variable amplitude square wave drive to the pixels to maintain constant root-mean-square drive and minimize phase fluctuations during the dc balance refresh cycle. The silicon has been fabricated and liquid-crystal-on-silicon cells both with and without the QWP assembled; applications include optically transparent switches for optical networks, beam steering for add-drop multiplexers for wavelength-division- multiplexing telecommunications, television multicast, and holographic projection.

Patterns of interaction in construction team meetingsξ

Sir John Egan’s 1998 report on the construction industry (Construction Task Force 1998) noted its confrontational and adversarial nature. Both the original report and its subsequent endorsement in Accelerating Change (Strategic Forum 2002) called for improved working relationships—so-called ‘integration’—within and between both design and construction aspects. In this paper, we report on our observations of on-site team meetings for a major UK project during its construction phase. We attended a series of team meetings and recorded the patterns of verbal interaction that took place within them. In reporting our findings, we have deliberately used a graphical method for presenting the results, in the expectation that this will make them more readily accessible to designers. Our diagrams of these interaction patterns have already proved to be intuitively and quickly understood, and have generated interest and discussion among both those we observed and others who have seen them. We noted that different patterns of communication occurred in different types of meetings. Specifically, in the problem-solving meeting, there was a richness of interaction that was largely missing from progress meetings and technical meetings. Team members expressed greater satisfaction with this problem-solving meeting where these enriched exchanges took place. By making comparisons between the different patterns, we are also able to explore functional roles and their interactions. From this and other published evidence, we conclude that good teamworking practices depend on a complex interplay of relations and dependencies embedded within the team.

Adjoint algorithms for the Navier-Stokes equations in the low Mach number limit

This paper describes a derivation of the adjoint low Mach number equations and their implementation and validation within a global mode solver. The advantage of using the low Mach number equations and their adjoints is that they are appropriate for flows with variable density, such as flames, but do not require resolution of acoustic waves. Two versions of the adjoint are implemented and assessed: a discrete-adjoint and a continuous-adjoint. The most unstable global mode calculated with the discrete-adjoint has exactly the same eigenvalue as the corresponding direct global mode but contains numerical artifacts near the inlet. The most unstable global mode calculated with the continuous-adjoint has no numerical artifacts but a slightly different eigenvalue. The eigenvalues converge, however, as the timestep reduces. Apart from the numerical artifacts, the mode shapes are very similar, which supports the expectation that they are otherwise equivalent. The continuous-adjoint requires less resolution and usually converges more quickly than the discrete-adjoint but is more challenging to implement. Finally, the direct and adjoint global modes are combined in order to calculate the wavemaker region of a low density jet. © 2011 Elsevier Inc.

Energy performance certification as a signal of workplace quality

Energy performance labelling and certification have been introduced widely to address market failures affecting the uptake of energy efficient technologies, by providing a signal to support decision making during contracting processes. The UK has recently introduced the Energy Performance Certificate (EPC) as a signal of building energy performance. The aims of this article are: to evaluate how valid EPC's are signals of occupier satisfaction with office facilities; and to understand whether occupant attitudes towards environmental issues have affected commercial office rental values. This was achieved by surveying occupant satisfaction with their workplaces holistically using a novel multi-item rating scale which gathered 204 responses. Responses to this satisfaction scale were matched with the corresponding EPC and rental value of occupier's workplaces. The satisfaction scale was found to be both a reliable and valid measure. The analysis found that EPC asset rating correlates significantly with occupant satisfaction with all facility attributes. Therefore, EPC ratings may be considered valid signals of overall facility satisfaction within the survey sample. Rental value was found to correlate significantly only with facility aesthetics. No evidence suggests rental value has been affected by occupants' perceptions towards the environmental impact of facilities. © 2013 The Authors.

Femtosecond laser induced breakdown for combustion diagnostics

The focused beam of a 100 fs, 800 nm laser is used to induce a spark in some laminar premixed air-methane flames operating with variable fuel content (equivalence ratio). The analysis of the light escaping from the plasma revealed that the Balmer hydrogen lines, H α and H β, and some molecular origin emissions were the most prominent spectral features, while the CN (B 2Σ +-X 2Σ +) band intensity was found to depend linearly with methane content, suggesting that femtosecond laser induced breakdown spectroscopy can be a useful tool for the in-situ determination and local mapping of fuel content in hydrocarbon-air combustible mixtures. © 2012 American Institute of Physics.

Rickettsia-like organism infection in a freshwater cultured fish Ophiocephalus argus C. in China

From 2001 to 2002, a new and emergent infectious disease of Ophiocephalus argus occurred in a fishery in Hubei Province, China, with an incidence of 60% similar to 70% and a mortality as high as 100 %. The diseased fish showed an enlarged abdomen, the millet-like nodules in internal organs, and the swollen kidney which was composed of 5 similar to 10 sarcoma-like bodies in cream or gray-white colour or ulcerated into beandregs-like substance. Light microscopic observation revealed the basophilic or acidphilic inclusions in cytoplasm of the cells and the granulomas, a diffusive chronic inflammation in internal organs. Further analysis under an electron microscope indicated that the intracytoplasmic inclusions were rickettsia-like organisms (RLOs) that are either spherical or coccoid, with variable size, ranging from 0.5 similar to 1.5 mum in diameter, and enclosed within membrane-bound cytoplasmic vacuoles. RLO had a central nucleoid region with some fine filamentous structures and an electron-dense granule. Its cytoplasm contained abundant ribosomal bodies. Occasionally, RLO appeared to be divided by binary fission. RLOs were also observed in the homogenized tissue of infected fish. The results suggested that the death of cultured O. argus was caused by RLO infection.